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a�s-�ao-oo2o City of Zephyrhills Permit Application Fax-813-780-0021 <br /> Building Department <br /> Date Receiv�d Phone Contact for Permittin — <br /> , �,_.,_, <br /> Owner's Name ���t � �P�J) 1� � Owner Phone Number <br /> Owner's Address ��� � � � ��,1 Vl C � Owner Phone Number <br /> Fee Simpte Titleholder Name �— � Owner Phone Number <br /> Fee Simple Titleholder Address <br /> JOB ADDRESS LOT# �� <br /> SUBDIVISION PARCEL ID# <br /> (OBTAINEO FROM PROPERTY TAX NOTICE) <br /> WORK PROPOSED B NSTALLSTR 8 REPAIR � SIGN Q � DEMOLISH <br /> PROPOSED USE Q SFR Q COMM � OTHER <br /> TYPE OF CONSTRUCTION Q BLOCK Q FRAME � STEEL Q <br /> DESCRIPTION OF WORK ��l' � c�V�i 11 <br /> BUILDING SIZE � SQ FOOTAGE HEIGHT <br /> QBUILDING $ 2�O� VALUATION OF TOTAL CONSTRUCTION <br /> QELECTRICAL $ AMP SERVICE 0 PROGRESS ENERGY Q W.R.E.C. <br /> QPLUMBING $ <br /> QMECHANICAL $ VALUATION OF MECHANICAL INSTALLATION <br /> QGAS Q ROOFING Q SPECIALTY � OTHER <br /> FINISHED FLOOR ELEVATIONS FLOOD ZONE AREA QYES NO <br /> BUILDER COMPANY �YY�'LO(;�.�' uC.� ` <br /> SIGNATURE v REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> ELECTRiCIAN � COMPANY <br /> SIGNATURE � REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— <br /> PLUMBER COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> MECHANICAL � COMPANY <br /> SIGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � <br /> OTHER � COMPANY <br /> 31GNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# � � <br /> RESIDENTIAL Attach(2)Plot Plans;(2)sets of Building Plans;(1)set of Energy Forms;R-O-W Pennit for new construction, <br /> Minimum ten(10)wortcing days aiter submittal date. Required onsite,Constructlon Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary FaciNUes 8 1 dumpster;Site Work Permit for subdivisionsllarge projects <br /> COMMERCIAL Attach(3)complete sets of Building Plans pius a Life Safety Page;(1)set of Energy Forms.R-O-W Permit for new constructlon. <br /> Minimum ten(10)working days after submittal date. Required onsite,Construction Plans,Stormwater Plans w/Silt Fence installed, <br /> Sanitary Facilities 8 1 dumpster.Site Work Permit for all new projects.All commerciai requirements must meet compliance <br /> SIGN PERMIT Attach(2)sets of Engineered Plans. <br /> '""'PROPERTY SURVEY required for all NEW construcUon. <br /> Dlrectlons: <br /> Fill out application completely. <br /> Owner 8 Contractor sign back of appNcaUon,notarized <br /> If over 52500,a Notice of Commencement is required. (A/C upgrades over 57500) <br /> '" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter from owner authorizing same <br /> OVER THE COUNTER PERMITTING (Front of Application Only) <br /> Reroofs if shingles Sewers Service Upgrades A/C Fences(PlotlSurvey/Footage) <br /> Driveways-Not over Counter if on public roadways..needs ROW <br />